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Tiffini Maria Simpson

Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Greensboro, NC. Individual provider (NPI-1).

NPI number1982259537
StatusActive
Last updated in NPPESAug 9, 2019

Details

NPI
1982259537
Entity type
Individual (NPI-1)
Name
Tiffini Maria Simpson
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 9, 2019
Last updated
Aug 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320600000X Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-041-1180NCYes

Practice location

3113 McConnell Rd
Greensboro, NC 27405-9611

Phone 336-355-7082 · Fax 336-450-1626

Mailing address

2205 Woodleaf Rd Apt 6f
Salisbury, NC 28147-1181

Phone 704-919-9982 · Fax 336-450-1626

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